This is a Declaration by a shareholder regarding a lost Share Certificate. This type of document is often required by a corporation in order to issue a replacement share certificate. This Declaration must be signed before a Notary Public.

This form includes special formatting features to assist you in completing the agreement.

This form can be used in the following provinces: Alberta, British Columbia, Manitoba, New Brunswick, Newfoundland and Labrador, Northwest Territories, Nova Scotia, Nunavut, Ontario, Prince Edward Island, Saskatchewan and Yukon.